South Texas Dermatology PLLC
NPI 1356536494 · MOHS-Micrographic Surgery Physician · Corpus Christi, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Texas Dermatology PLLC is a MOHS-Micrographic Surgery Physician organization in Corpus Christi, TX (NPI 1356536494).
Provider details
- NPI number
- 1356536494
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Vincent, Prqactice Manager(361) 882-5560
- License
- J4105 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- South Texas Dermatology
Additional practice locations (5)
- 1711 W Wheeler Ave Ste 3Aransas Pass, TX 78336-4536Phone: (361) 882-5560Fax: (361) 882-6011
- 5920 Saratoga Blvd Ste 470Corpus Christi, TX 78414-4108Phone: (361) 882-5560Fax: (361) 882-6011
- 13725 Northwest Blvd Ste 11Corpus Christi, TX 78410-5124Phone: (361) 882-5560Fax: (361) 882-6011
- 1311 E General Cavazos Blvd Ste FKingsville, TX 78363-7129Phone: (361) 882-5560Fax: (361) 882-6011
- 400 Enterprise Blvd Bldg D4Rockport, TX 78382-4341Phone: (361) 882-5560Fax: (361) 882-6011
Registry dates
- Enumerated
- 2007-09-12
- Last updated
- 2022-07-14
- Certified
- 2022-07-14
Frequently asked questions
- What is South Texas Dermatology PLLC's NPI number?
- South Texas Dermatology PLLC's National Provider Identifier (NPI) is 1356536494, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Texas Dermatology PLLC?
- South Texas Dermatology PLLC is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is South Texas Dermatology PLLC located?
- South Texas Dermatology PLLC's practice location on file with NPPES is 4141 S. Staples Suite 300, Corpus Christi, TX 78411-2929.
- What is South Texas Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for South Texas Dermatology PLLC is (361) 882-5560.
- Does South Texas Dermatology PLLC accept Medicare?
- South Texas Dermatology PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Texas Dermatology PLLC?
- The authorized official listed on South Texas Dermatology PLLC's NPPES record is Jennifer Vincent, Prqactice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Texas Dermatology PLLC's NPI active?
- Yes — South Texas Dermatology PLLC's NPI (1356536494) is active in the NPPES registry as of the last update on 2022-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.